HESI RN
HESI RN Med Surg Questions
Extract:
Question 1 of 5
The nurse is teaching the parents about important dietary changes for their child who is newly diagnosed with celiac disease. Which foods should the nurse include in the list of allowed foods for this child?
Correct Answer: A
Rationale: Rice is gluten-free and safe for celiac disease. Other grains contain gluten, which triggers intestinal damage.
Question 2 of 5
The nurse is caring for an infant admitted with dehydration, irritability, signs of extreme hunger, and a palpable olive-like mass in the upper right abdominal quadrant. When feeding the infant, the nurse should monitor for which development?
Correct Answer: C
Rationale: Projectile vomiting is a hallmark of pyloric stenosis, indicated by the olive-like mass. Other symptoms are less specific or unrelated.
Question 3 of 5
A client with benign prostatic hyperplasia (BPH) is preparing for discharge following a transurethral needle ablation (TUNA). Which information should the nurse include in the discharge instructions?
Correct Answer: D
Rationale: Monitoring the urinary stream for decreased output is critical post-TUNA to detect complications like re-obstruction, which could indicate issues with the procedure's effectiveness or healing process.
Question 4 of 5
The nurse is caring for a child with sickle cell disease who is experiencing a sickle cell crisis. Which finding should the nurse report to the health care provider immediately?
Correct Answer: A
Rationale: Chest pain indicates acute chest syndrome, a life-threatening complication requiring immediate reporting. Other findings are less urgent.
Question 5 of 5
A 1-year-old child with respiratory syncytial virus (RSV) is admitted to the pediatric unit. The nurse observes that the child presents with a fever, rhinorrhea, frequent coughing, and sneezing. Which additional finding should alert the nurse that the child is in acute respiratory distress?
Correct Answer: A
Rationale: Nasal flaring indicates increased work of breathing, a sign of acute respiratory distress. Other findings are normal or unrelated.